Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,553.70 / $7,920.26	Facility		$2,747.00	$5,553.70	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,307.05 / $3,356.20 / $9,511.92	Professional		$2,307.05	$3,356.20	$9,511.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,134.11 / $4,831.04 / $7,818.85	Professional		$3,134.11	$4,831.04	$7,818.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,670.43 / $5,501.36 / $6,563.14	Professional		$4,670.43	$5,501.36	$6,563.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,356.20 / $4,581.18 / $6,286.60	Facility		$3,356.20	$4,581.18	$6,286.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,957.00 / $4,631.30 / $6,973.75	Professional		$3,957.00	$4,631.30	$6,973.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,740.82 / $4,950.85 / $5,327.17	Facility		$3,740.82	$4,950.85	$5,327.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,356.20 / $4,597.99 / $6,766.98	Facility		$3,356.20	$4,597.99	$6,766.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,526.06 / $5,308.62 / $7,286.66	Professional		$4,526.06	$5,308.62	$7,286.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,695.86 / $13,695.86 / $13,695.86	Facility		$13,695.86	$13,695.86	$13,695.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,848.89 / $6,205.76 / $8,340.60	Professional		$4,848.89	$6,205.76	$8,340.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,782.50 / $5,233.89 / $8,387.79	Professional		$3,782.50	$5,233.89	$8,387.79